Grant Application Form

Please write the application in English. To save your entries and continue later, scroll down and click "Save and Continue Later"

Organisation name*
Project Title*
Project Summary*
Organisation description*
Organisation website
Did your organisation receive financial support from the PBNF before?*
In what year(s) did your organization receive a PBNF grant, and how high was the grant?
How does this new application relate to the former financed project(s), including lessons learned? (Please note that no new funding will be provided before a report has been received about the effectiveness of earlier funding):*
Project description
The problem*
The context*
Target group*
Expected direct results*
Project start- and end dates
Start date*
Date Format: MM slash DD slash YYYY
End date*
Date Format: MM slash DD slash YYYY
Project location
If your project is not located in a city, please put here the city closest to your project site.
City*
Country*
Address or description of project location*
Description of location's specific nature, biodiversity, socio-economic, and institutional characteristics:*
Project details
Project objective*
Project activities*
Expected local project results*
Importance and expected outcomes towards international nature conservation.*
Give indication of the mid- and long term sustainability of the project results, i.e. how will the results be sustained once the PBNF Funding will have been fully used? Please include max. three critical success factors:*
Project budget
Budget Currency (EURO / US$)
Total Project Budget*
Total Project Budget*
Please upload your specified budget at the end of the form
Amount requested from Prince Bernhard Nature Fund (PBNF)*
Please indicate in your specified budget which cost items you request from the PBNF. Please mind the maximum grant is €/$ 20.000.
Amount requested from Prince Bernhard Nature Fund*
To complete the total budget, from which other sources have you requested funds?
Contribution Source Amount (€/$) Already confirmed?
Contribution of the proposing organisation
In Cash (€/$) In Kind
Partners and references
Name and role of local partner-organisation(s) like community-based organisations, local government and private sector:*
Name and contact details of reference person 1*
Name and contact details of reference person 2*
Contact Information
Contact person*
Function*
Telephone number*
Email address*
Organization banking details
Bank account number*
BIC or SWIFT number
IBAN number
Uploads
Detailed Budget*
Please upload your detailed budget here! Please check that the detailed budget is the total budget. Please indicate in the budget what part/which items you are requesting from PBNF
By clicking to Submit this form you agree to the PBNF Privacy Policy as stipulated on https://www.pbnf.nl/privacy-policy/ Please, if any information in your application is sensitive and you don't want it to be shared or become public, contact us and we will take this into account.
Comments
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Save and Continue Later

Grant Application Form

Project description

Project start- and end dates

Project location

Project details

Project budget

Partners and references

Contact Information

Organization banking details

Uploads

Links

Contacts

Contribution Source	Amount (€/$)	Already confirmed?